Evidence map›Paper›PMID 34950048›Full record

ReviewFrontiers in physiology2021

Vascular Stiffness in Aging and Disease.

Stephen F Vatner, Jie Zhang, Christina Vyzas, Kalee Mishra, Robert M Graham, Dorothy E Vatner

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Cardiovascular frailty - an emerging frailty phenotype.Journal of human hypertension · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Current issues in molecular biology · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. ZNF384-Driven Fibulin-1 Exacerbates Vascular Stiffness via TGF-β/Smad3-Mediated Senescence and Fibrosis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Stephen F VatnerDepartment of Cell Biology and Molecular Medicine, Rutgers University - New Jersey Medical School, Newark, NJ, United States.
Jie ZhangDepartment of Cell Biology and Molecular Medicine, Rutgers University - New Jersey Medical School, Newark, NJ, United States.
Christina VyzasDepartment of Cell Biology and Molecular Medicine, Rutgers University - New Jersey Medical School, Newark, NJ, United States.
Kalee MishraDepartment of Cell Biology and Molecular Medicine, Rutgers University - New Jersey Medical School, Newark, NJ, United States.
Robert M GrahamVictor Chang Cardiac Research Institute, University of New South Wales, Darlinghurst, NSW, Australia.
Dorothy E VatnerDepartment of Cell Biology and Molecular Medicine, Rutgers University - New Jersey Medical School, Newark, NJ, United States.
Rutgers New Jersey Medical SchoolRutgers, The State University of New Jersey · USUNSW Sydney · AU

Funding

Skeletal Muscle and Brown Adipose Mechanisms Mediating Cardiovascular Risk Factor Protection in RGS14 KOR01HL137368 · NHLBI · RBHS-NEW JERSEY MEDICAL SCHOOL · PI VATNER, STEPHEN F · 2017 to 2020
$2.1M
NHLBI NIH HHS R01 HL137368
6 · The paper itself

Abstract

The goal of this review is to provide further understanding of increased vascular stiffness with aging, and how it contributes to the adverse effects of major human diseases. Differences in stiffness down the aortic tree are discussed, a topic requiring further research, because most prior work only examined one location in the aorta. It is also important to understand the divergent effects of increased aortic stiffness between males and females, principally due to the protective role of female sex hormones prior to menopause. Another goal is to review human and non-human primate data and contrast them with data in rodents. This is particularly important for understanding sex differences in vascular stiffness with aging as well as the changes in vascular stiffness before and after menopause in females, as this is controversial. This area of research necessitates studies in humans and non-human primates, since rodents do not go through menopause. The most important mechanism studied as a cause of age-related increases in vascular stiffness is an alteration in the vascular extracellular matrix resulting from an increase in collagen and decrease in elastin. However, there are other mechanisms mediating increased vascular stiffness, such as collagen and elastin disarray, calcium deposition, endothelial dysfunction, and the number of vascular smooth muscle cells (VSMCs). Populations with increased longevity, who live in areas called "Blue Zones," are also discussed as they provide additional insights into mechanisms that protect against age-related increases in vascular stiffness. Such increases in vascular stiffness are important in mediating the adverse effects of major cardiovascular diseases, including atherosclerosis, hypertension and diabetes, but require further research into their mechanisms and treatment.

Indexed as

agingaortic stiffnesscardiovascular diseaseshumannon-human primate

Identifiers

PMID34950048
PMCPMC8688960
OpenAlexW4200553679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.